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HomeMy WebLinkAboutZ-20205FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20205 THIS CERTIFIES that the Date SEPTEMBER 10, 1991 ONE FAMILY DWELLING Location of Property 2775 PINE NECK ROAD SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 6 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-20205 dated SEPTEMBER 10, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING The certificate is issued to WILLIAM & AUDREY NORRIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. '- '4 � /"': Building Inspector Rev. 1/81 BUILDI?:C DEP.zRT:•]ZNT T0�'Jid OF SOUTHOLD, N. Y. HOUSI:dG CODE INSPECTION REPORT Location 2775 PINE NECK ROAD SOUTHOLD, N_Y_ (numoer do street) i-iunicipaiity) Subdivision Nap No. Lot(s) Name of Owner(s) WILLIAM 6 AUDREY NORRIS Occupancy A-1 (type) owner -tenant) Admitted by: AUDREY NORRIS Accompanied by: SAME Key available Suffolk Co. Tax No. 70-6-17 Source of request WILLIAM NORRIS Date AUG. 26, 1991 DWELLI "1G : Type of construction WOOD FRAME rstories 1-I/2 Foundation CEMENT BLOCK Cellar PARTIAL Crawl space PARTS Total rooms, lst. Fl 4 2nd. F1 ONE 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type Deck, type Patio, type CEMENT Breezeway Garage 1 CAR Utility room Type Heat OIL Warm Air Hotwater xx Fireplace(s) ONE No. Exits 3 Airccnditionina Xx Domestic hotwater YES Type heater LILCO Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other PATIO IN REAR YARD — VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE Remarks: BP #20129Z/CO-Z20204-GARAGE ADD. BP /20130-Z/COZ-20203 Inspecte ACCY SHED Date of Insp. AUGUST 27, 1991 Time start 10:10 end 10:30 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Yq APPLICATION FOR CERTIFICATE OFIOCCUPANCY .. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C(npliance from archi'_ect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) tion -conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed y the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. C ifi a _e __ajOccupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Da to .............. ew Construction.........,. Old Or Pre-exis_t/ng Building ................. ocation of Property....°�5 ../l�: .. /�! ( .... %%�...............- f Q�] ...... House No. Street ��✓✓ Hamlet twer or Owners of P W/k 1.4/}1 .. .!! //l7�Cl.... ! .../\%G�,Q/ s ...... roperty. ... )unty Tax Map No 1000, Section .... 7.0 ......Block...... ..4......Lot......t7 ............. .bdivision....................................Filed ii:tp............ Lot ...................... Mit NO................Date Of Permit ................ Applicant ............................. alth Dept. Approval..........................Underwriters Approval...................... . -nning Board Approval ................:....... .uesc for: Temporary Certificate... ..... Final Corticate........... Submitted: $. .......... _ j - ........................... APPLICANT 6AXC0dX0 05 1461�1 0��Y In I /C/o 2R ( S A114- L IeAf i;_, Alx e2i 1 Owner(s) N dohereby state: s) CONSENT TO INSPECTION the undersigned, That the undersigned (' (are) the owner(s) of the premises in the Town of Southold located at X77 �(,✓� /y��K /` �!% /� �j 0(/%%�dG� /%U�t7ic� which is shown and designated on the Suffolk- County uffolkCounty tax map as District 1000, Section 70 , Block Lot j 7 That the undersigned (fit as) (have) filed, or caused to be filed, an app�lica- tion in the Southold Town Building Inspector's Office for the following: ��2%��/c�%� ia� /9��i���-�ary �s/ .off,-_i—✓i� That the undersigned do(es) hereby give consent to the Building Inspectors i of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws-, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do s) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (sign ture) (print na (sign ure) (print name) E 7� to VOK EIFP PrZOUT L6 FE4CE CAR. E13 - Q so. 1w. th, f k\j S L4 v C LL -V -4 t f2 LU ILL '4I r F= ui I o- 49; G C.V 1 .3 � ..moi Et�F � � PTZ4uT. j c3 i � ! W i ci s .Fmki S.32 42 00 E. IM1.0 � . STOc>� F�tE � I cv i �KELL,PUMP N j tic) j FICIeET FE -NCE 1� N Y IiI' i 1 t i SR€VS ' `I / F • al°u 1 41; i� W t t►i „� 1 i17-- > )� i rQ W s Iy2 STORY Ln 8! F2•HO. 1 OD i s ! , MAF - OF PFLOPEr2TY S' �R`r/E`:'EG F02 ,IVNI 11 L L A, F. 2 R Gtj TH L✓ OF 5 U T -i O L G, �. yto th"; i 1R a- MONUM T Q : PtPE AfZE -- 0.523 AC. no. i -:2L4 alteror dditio on on of ^ducati¢n w f t1,e New York Statc the las o'it, g rry„b ma, n ot T'Ac syC s �lYs al;E '[ed ss�ai o 3ring 5e a uatid trueot ba consider aueranr il^ Y. ed ees ; rrlty ndreetE.d heceo i� nre.A het Arson for n.F n shall run r "� and on hiscm the X1,11 t I - h •Y, '�.OVg Ser.°f+20 :.5 rna S ;rrfrnd.St.- rn_y.. n r _ ur;d - n _ c < E r0 tri .ltiprs o np aRr 1/y/Po�P Vq p \� n�2 0 IJ �o \\C256 a C ;ND Svc SU FF. CO.TAX MA? DATA.1000 7G - 6- ! ; 5 4&WA�,7U P M T L ACHEQ FEQEt (✓' L. !r,►*Snt. 1/ LT_ IV ? J OF FN2MtW-GV - I -LF- tVF4 TLE !tj% NtCE A5 SU2VEY<=G AUG. Is , Ei 'OIDEQICV VAMI TUYL P, . LICLAND SUfZVEYWS - GQEENP02T.h. Y_ BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location (number & street) Subdivision Map No. Name of Owner(s) Occupancy /1� (t pe) Admitted by:kiddj Accompanied Key available Suffolk Co. Tax No. Source of request �,{,� ��Date /,99 c Pot(s) owner -tenant by: DWELLING: Type of construction #stories i �t" Foundation �,� Cellar Crawl space Total rooms, 1st. Fl - 2nd. F1_ -3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type - Patio, type C Breezeway_T Garage /.� Utility room Type Heat Warm Air Hotwater Fireplace(s) 10A4__ No. Exits ,Airc2Witioning Domestic hotwaterXIS Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. of Other Guest, type const. VIOLATIONS: Housing Code, Chapter 52 .Description - ■'_ " Remarks Inspected by: f Date of Insp. C OL% Time start_ nd ; /7 TOWN OF SOUTHOLD �OPERTY RECORD CARD OWNER ' STREET VILLAGE DISTRICT I SUB. LOT • �_ 6u !o 71 OP07/tER OW _ `Q ko f`r 1 S ))? ACREAGE) I o- , -k,7G�taC S P-14 L W , TYPE OF BUILDING , t, 4-1*fe RES. -1`6 SEAS. VL. FARM comm. � IND. I CB. , MISC. I LAND IMP. TOTAL DATE REMARKS o 3 a 7 Z Zif 3 Y-6 <3 700 3—?0 0 0 — 0 0.Z P—• YSI UO rr l S lb v ©v o 9aD✓ lam 174 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable, 3 Woodland Swampland Brushland -40ft: House Plot Tota ir rk- V'?fid+7 i �i lv� 4n arr J Ir a �.